Carol K Racheotes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P9204008 Issued in AR

Practice address

5221 N Park Rd
Texarkana, TX 75503-2664

Phone

(903) 791-1051

Fax

(903) 791-1054

NPI assigned

Feb 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Texas a & M University System, HSC, College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alison Kunefke Mashburn, LPC, PA

  • Professional Counselor
  • Texarkana, TX
  • NPI 1427258664
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679549810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 N PARK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032664",
            "telephone_number": "903-791-1051",
            "fax_number": "903-791-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 N PARK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032664",
            "telephone_number": "903-791-1051",
            "fax_number": "903-791-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHEOTES",
        "first_name": "CAROL",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "10493",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P9204008",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "003155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulmonary & Internal Medicine of Texarkana
• Pulmonary Diseases Medicine Clinic
• Bayard Paul Quinn, MD
• Savannah K Quinn, MS. LPC, RPT, ICST
• Rachael Keilin MD, PA
• Radiology Consultants L L P
• Meko M Radomski, MD
• Rafael F Otero, PHD, Inc
• Poongodhai Ramachandran, MD
• Matthew Hawthorne Ramage, M.D.

• Mental Health Counselor in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.